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Organization

ROSS S AJEMIAN DDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROSS S AJEMIAN DDS (OWNER)
(508) 830-0330
Entity
Organization

Contact information

Practice address
110 LONG POND ROAD, SUITE 120, PLYMOUTH, MA 02360
(508) 830-0330
(508) 830-3355
Mailing address
110 LONG POND ROAD, SUITE 120, PLYMOUTH, MA 02360
(508) 830-0330
(508) 830-3355

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14348 AJ
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14348
DELTA DENTAL
MA
01
X05260
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/05/2007
Last updated
08/05/2007
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